Perspective Study of Cervical PAP Smear in Females of at Tertiary Care Hospital Bhopal

Abstract

Background: Cervical PAP smear examinationis an idealinvestigationfor early detection of benign and malignant
conditions of uterus because cervical infections are commonly encountered problems in women during their
reproductive age and in some cases in post-menopausal.
Method: Out of 3980 female patients aged between 21 to 80 years 3910 (98.2%) patients had pathological
significance. Cervical smear were prepared by using disposable ayle’s spatula fixed in 95% of alcohol and stained
by conventional PAP techniques and interpreted according to guidelines of 2001 Bethesda system.
Results: 1800 (46%) ASCUS, 230 (5.88%) AGUS, 500 (12.7%) LSIL, 480 (12.2%) HSIL, 650 (16.6%) SCC, 200 (5.11%)
malignant positive, 50 (1.27%) adeno carcinoma were studied 700 (38.8%) chronic cervicitis in ASCUS, 112 (48.6%)
chronic cervicitis in AGUS, 298 (59.6%) chronic cervicitis, 98 (19.6%) Decubitis ulcer in LSIL, 60 (12.5%) reparative
change, 120 (25%) chronic cervicitis, 120 (25%) chronic cervicitis, 120 (25%) micro INV CA, 120 (25%) CIN were
observed in HSIL 630 (96.9%) SSC, 20 (3.07%) adenocarcinoma in SCC study and 50 (1.27%) were studied.
Conclusion: The PAP smear will be a tool for screening of cervical intra epithelial lesion and it is cost-effective,
useful for pathologist OBG and Gynaecologist and oncology surgeon to treat such patients to avoid morbidity and
mortality